Hilltop Health and Rehabilitation
188 Oscar Justice Road · Rutherfordton, NC · 28139 · 8282869001
80 certified beds For profit - Limited Liability company Chain: Ascent Healthcare Management
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $7,530 |
Inspection citations (12 in the current record)
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Potential for harm · D March 12, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 1, 2026 · Pharmacy Service
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Potential for harm · D March 12, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 9, 2025
Provide activities to meet all resident's needs.
Corrected January 22, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
Provide and implement an infection prevention and control program.
Corrected January 22, 2025 · Infection Control
-
Actual harm · G September 13, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected September 18, 2023 · Resident Rights
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Actual harm · G September 13, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 18, 2023 · Resident Rights
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Potential for harm · E September 13, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 18, 2023 · Pharmacy Service
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Potential for harm · E September 13, 2023
Ensure that residents are free from significant medication errors.
Corrected September 18, 2023 · Pharmacy Service
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Potential for harm · E September 13, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 18, 2023 · Pharmacy Service
-
Potential for harm · E September 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 18, 2023 · Nutrition and Dietary
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Potential for harm · D September 13, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 18, 2023 · Administration
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Potential for harm · D September 13, 2023
Provide and implement an infection prevention and control program.
Corrected September 18, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2023 | Fine | $7,530 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345083 · certified since December 13, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.